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pulmonary diagnosis differential lung management radiology treatment abscess acquired amiodarone bronchiectasis cardiology causes clinical community contusion criticalcare ctchest emergencymedicine evaluation
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... in HIV-AIDS Bacterial ... Evaluation: Imaging (CXR ... +/- High res CT ... chest scan), CBC
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
• Pleuritic chest ... • CT: Halo sign ... Lymphadenopathy, Chest ... : • Chest pain ... #HIV #AIDS #pulmonary
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Miliary Pattern - Chest ... diffuse inhalational injury ... Miliary #Pattern #Chest ... #CXR #clinical ... #CT
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
allopurinol), Infection ... anti-GBM ab, ANA, C3, C4 ... , anti-CCP • CXR ... high resolution chest ... CT • Bronchoscopy
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
bronchial wall injury ... Loss of weight • Chest ... Nasal polyps and signs ... high-resolution chest ... CT) • Broncho-arterial
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
is a radiologic sign ... hump along may aid ... confirmed with chest ... CT angiography. ... #photo #CXR #EmergencyMedicine
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
polymicrobial infection ... disease: Pleuritic chest ... lat decubitus - air ... level seen • Chest ... treatment until the chest
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
Signs/Symptoms: ... • Pleuritic chest ... infiltrate by chest ... radiograph or CT ... Management #treatment #Pulmonary
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
cytotoxic lung injury ... , ARDS, DAH, solitary ... Pleuritic chest ... failure - Infectious ... reticular opacities on chest
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
of breath and chest ... Vital signs: BP ... SpO2 88% on room air ... x-ray (CXR), try ... not seen on a CXR
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